Individual
CAROL WASMUCKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
20905 PROFESSIONAL PLZ, SUITE 110, ASHBURN, VA 20147-7783
(703) 726-1616
(703) 726-1613
Mailing address
9900 MAIN ST, SUITE 200A, FAIRFAX, VA 22031-3907
(703) 279-4249
(703) 279-4271
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305003343
VA
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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